Vital Sources, Llc is a Family in Frederick, Maryland. Vital Sources, Llc practices all healthcare services and medical treatments related to Family. The NPI Number for Vital Sources, Llc is 1770605321. The last update date is 2016-07-05.
Vital Sources, Llc's current location address is 116 Record St, Frederick, Maryland. You can contact this provider via phone number 3016208700 and fax number 3016208710. The mailing address for Vital Sources, Llc is 116 Record St, Frederick, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vital Sources, Llc |
|---|---|
| Address | 116 Record St, Frederick, Maryland |
| Phone Number | 3016208700 |
| Fax Number | 3016208710 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Roembke E. James |
| Credentials | PSY.D. |
| Telephone Number | 3016208700 |
NPI Number Detail
| NPI Number | 1770605321 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2016-07-05 |
Provider Mailing Address Detail
| Address | 116 Record St |
|---|---|
| City | Frederick |
| State | Maryland (MD) |
| Post Code | 217015418 |
| Phone Number | 3016208700 |
| Fax Number | 3016208710 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 103Tf0000X |
|
Definition: A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Vital Sources, Llc?
The Vital Sources, Llc has been issued the NPI (National Provider Identifier) 1770605321 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Vital Sources, Llc is located?
The Vital Sources, Llc is situated at the following address: 116 Record St, Frederick, MD, 217015418.
What is Vital Sources, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Vital Sources, Llc's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 103Tf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770605321 to Vital Sources, Llc?
The Vital Sources, Llc received its 1770605321 assignment from the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information pertaining to Vital Sources, Llc most recently updated or revised?
The details related to Vital Sources, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2016-07-05.
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